Where does prostatitis hurt?

Written by Wang Shuai
Urology
Updated on September 01, 2024
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Patients with prostatitis mainly present with symptoms of urinary discomfort and pelvic pain. Urinary discomfort typically manifests as frequent urination, urgency, and a feeling of incomplete bladder emptying. Pain symptoms mainly include pain around the pelvic area, usually located in the lower abdomen, perineum, and anal region. Some patients may experience pain in the sacral area, with the pain being continuous, distending, or sore. When such symptoms occur, prostatitis should be considered as a likely possibility. It is advisable to promptly visit the urology department of a regular public hospital where diagnosis can be confirmed through ultrasound, digital rectal examination, and routine prostate fluid analysis. Targeted treatment should then be administered, and if necessary, some non-steroidal anti-inflammatory drugs can be taken orally for pain relief. (Please use medications under the guidance of a doctor.)

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Written by Chen Feng
Urology
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How is prostatitis treated?

Prostatitis is divided into acute prostatitis and chronic prostatitis. Acute prostatitis is generally caused by bacterial infection of the prostate, so antibiotics are needed to control the infection. Additionally, patients with acute prostatitis often experience pain and fever, thus requiring antipyretic analgesics for symptomatic treatment. Chronic prostatitis has a longer duration and is divided into bacterial prostatitis and nonbacterial prostatitis. Bacterial prostatitis generally requires treatment with antibiotics, and those that can penetrate the prostate capsule are preferred. Patients with chronic prostatitis can also benefit from warm sitz baths and prostate massage as auxiliary treatments. During treatment, the diet should be light, avoiding spicy and stimulating foods, avoiding prolonged sitting, and abstaining from alcohol.

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Written by Wang Shuai
Urology
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How does a urine test determine prostatitis?

A routine urinalysis cannot determine prostatitis. It can, however, rule out other urinary system infections such as urethritis or cystitis through routine urinalysis. If the urinalysis is normal but the patient still exhibits symptoms like frequent urination, urgency, and incomplete emptying of the bladder, this may indirectly suggest the possibility of prostatitis. In cases of acute bacterial prostatitis, the urinalysis may show varying degrees of increased white blood cells. To confirm prostatitis, it is best to examine the prostate fluid for lecithin corpuscles and white blood cells.

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Written by Chen Feng
Urology
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How is prostatitis caused?

Prostatitis is generally caused by the retrograde infection of bacteria in the urethra through the prostatic ducts, and it is often seen in patients with urethritis or cystitis. This is because such patients have a large number of bacteria in the urethra, and these bacteria or pathogenic microorganisms can easily cause prostatitis through retrograde infection. Especially in cases of urethral stones or instrumented operations, such as cystoscopy or ureteroscopic lithotripsy, these conditions are more likely to lead to prostatitis. When prostatitis occurs, symptoms such as frequent urination, urgent urination, and painful urination may be present. The patient may also experience difficulty in urination, a thinner urine stream, interrupted urine flow, and pain or discomfort in the suprapubic area and perineum.

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Written by Wang Shuai
Urology
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Prostatic calcification refers to the presence of calcium deposits in the prostate gland.

Prostatic calcification caused by prostatitis primarily refers to the fibrous calcification deposits that occur in the local tissue of the prostate after the prostatitis has healed. Simply put, it refers to the scar tissue left after a prostate infection. Under color ultrasound examination, it appears as a strong echo cluster, and under CT examination, it appears as a high-density shadow. The presence of prostatic calcification lesions usually does not cause discomfort for most patients and is often discovered during routine ultrasound examinations during physical check-ups. For those cases where there are no discomfort symptoms associated with prostatic calcification lesions or spots, no special treatment is needed, as they do not pose a significant risk to health.

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Written by Zhang Da Wei
General Surgery
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Can prostatitis heal itself?

Prostatitis can have a certain degree of self-healing capability. Generally, mild prostatitis can be managed by improving lifestyle habits, such as by increasing water intake, enhancing overall lifestyle habits, engaging in regular exercise, and maintaining controlled sexual activity, among others, which can all benefit the self-healing of the prostate. Additionally, when prostatitis occurs, it may be observed initially before considering medication. In cases of nonbacterial prostatitis, oral medication is generally not necessary; rather, treatments such as sitz baths can be used to achieve therapeutic goals. For bacterial prostatitis, it can generally be treated with anti-inflammatory medications to achieve some improvement. Of course, the best way to facilitate self-healing of prostatitis is by improving daily lifestyle habits. (Specific medications should be taken under the guidance of a physician.)